NDC codes

FDA NDC Directory
Product NDC (as listed)0990-7926Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00990-7926Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0990-7926-02009907926020099079260224 POUCH in 1 CASE (0990-7926-02) / 1 BAG in 1 POUCH / 250 mL in 1 BAGMarketed from Sep 1, 2019
0990-7926-03009907926030099079260324 POUCH in 1 CASE (0990-7926-03) / 1 BAG in 1 POUCH / 500 mL in 1 BAGMarketed from Dec 1, 2019
0990-7926-09009907926090099079260912 POUCH in 1 CASE (0990-7926-09) / 1 BAG in 1 POUCH / 1000 mL in 1 BAGMarketed from Dec 1, 2019

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Dextrose and Sodium Chloride
Generic name (nonproprietary)
dextrose monohydrate and sodium chloride
Active ingredients
Dextrose monohydrate — 5 g/100mLSodium chloride — .45 g/100mL
Dosage form
Injection, Solution
Route
Intravenous
Labeler
ICU Medical Inc.NDC labeler code 0990
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 017607
Marketing start
Listing expires
Other FDA classes
Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)
Identifiers
Product ID 0990-7926_4ef511b3-cb5a-468e-b1e7-584b4d4c9a29SPL ID 4ef511b3-cb5a-468e-b1e7-584b4d4c9a29SPL set ID 4555b1bf-6d97-4798-a63d-6d34291c85ceRxCUI 1794902, 1794904, 1794905, 1795149, 1795150, 1795250, 1795252, 1795254, 1795344, 1795346UNII LX22YL083G, 451W47IQ8X
Pharmacologic class
Osmotic Laxative

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N400990792602 followed by a unit qualifier and the quantity

Package 00990-7926-02. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

INDICATIONS AND USAGE Intravenous solutions containing dextrose and sodium chloride are indicated for parenteral replenishment of fluid, minimal carbohydrate calories, and sodium chloride as required by the clinical condition of the patient.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0990-7926

What is NDC 0990-7926?
0990-7926 is the product NDC for Dextrose and Sodium Chloride, Dextrose monohydrate 5 g/100mL; Sodium chloride .45 g/100mL injection, solution, listed with the FDA by ICU Medical Inc.. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Dextrose and Sodium Chloride (DEXTROSE MONOHYDRATE and SODIUM CHLORIDE).
What is the active ingredient?
Dextrose monohydrate, Sodium chloride.
Who is the labeler?
ICU Medical Inc., NDC labeler code 0990. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Dextrose and Sodium Chloride?
21 other product NDCs are listed under this name. See all Dextrose and Sodium Chloride NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Dextrose and Sodium Chloride NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Dextrose And Sodium Chloridedextrose monohydrate, sodium chlorideDextrose monohydrate 2.5 g/100mL; Sodium chloride .45 g/100mLInjection, SolutionIntravenousFresenius Kabi USA, LLC63323-87463323-0874-10
Dextrose and Sodium Chloridedextrose monohydrate and sodium chlorideDextrose monohydrate 5 g/100mL; Sodium chloride .45 g/100mLInjection, SolutionIntravenousBECTON DICKINSON AND COMPANY17271-73417271-0734-0517271-0734-0617271-0734-07
Dextrose and Sodium Chloridedextrose monohydrate and sodium chlorideDextrose monohydrate 5 g/100mL; Sodium chloride .9 g/100mLInjection, SolutionIntravenousBECTON DICKINSON AND COMPANY17271-73517271-0735-0617271-0735-07
Dextrose and Sodium Chloridedextrose monohydrate and sodium chlorideDextrose monohydrate 5 g/100mL; Sodium chloride .3 g/100mLInjection, SolutionIntravenousFresenius Kabi USA, LLC63323-86763323-0867-1063323-0867-7463323-0867-75
Dextrose and Sodium Chloridedextrose monohydrate and sodium chlorideDextrose monohydrate 5 g/100mL; Sodium chloride .45 g/100mLInjection, SolutionIntravenousFresenius Kabi USA, LLC63323-86963323-0869-1063323-0869-7463323-0869-75
Dextrose and Sodium Chloridedextrose monohydrate and sodium chlorideDextrose monohydrate 5 g/100mL; Sodium chloride .9 g/100mLInjection, SolutionIntravenousFresenius Kabi USA, LLC63323-87063323-0870-1063323-0870-74
Dextrose and Sodium Chloridedextrose monohydrate and sodium chlorideDextrose monohydrate 5 g/100mL; Sodium chloride .225 g/100mLInjection, SolutionIntravenousFresenius Kabi USA, LLC63323-87363323-0873-1063323-0873-7463323-0873-75
Dextrose and Sodium Chloridedextrose monohydrate and sodium chlorideDextrose monohydrate 5 g/100mL; Sodium chloride .225 g/100mLInjection, SolutionIntravenousICU Medical Inc.0990-792400990-7924-0200990-7924-0300990-7924-09
Dextrose and Sodium Chloridedextrose monohydrate and sodium chlorideDextrose monohydrate 5 g/100mL; Sodium chloride .3 g/100mLInjection, SolutionIntravenousICU Medical Inc.0990-792500990-7925-0300990-7925-09
Dextrose and Sodium Chloridedextrose monohydrate and sodium chlorideDextrose monohydrate 5 g/100mL; Sodium chloride .9 g/100mLInjection, SolutionIntravenousICU Medical Inc.0990-794100990-7941-0300990-7941-09

All 22 Dextrose and Sodium Chloride NDCs

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